Minimally invasive operation for pectus excavatum after cardiac operation

Abstract

Secondary pectus excavatum may occur after cardiac surgery, the operation of which is extremely challenging, and the main challenge is adhesion behind the sternum. Because of the serious adhesion, Nuss procedure is risky and difficult. We used Wung procedure combined with Wang procedure to reduce the risk and difficulty of the operation, and achieved satisfactory results. Herein, we report a operation of a 16-year-old girl. She had undergone cardiac surgery in childhood and developed pectus excavatum postoperatively. We used Wang procedure and Wung procedure to implement the correction and obtained satisfactory results.